Active NPI
Community Pride Pharmacy LLC
- Community/Retail Pharmacy
- Newark, NJ
National Provider Identifier
1194431288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Retail Pharmacy
- Legal business name
- COMMUNITY PRIDE PHARMACY LLC
- Practice address
- 393 Central Ave
Newark, NJ 07103-2842 - Phone
- (973) 988-9800
- NPI assigned
- Jan 23, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Alex Grant
- Title
- VP
- Phone
- (973) 988-9800
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | Primary | ||
| Long Term Care Pharmacy | 3336L0003X |
Addresses
Primary practice location
393 Central Ave
Newark, NJ 07103-2842
Mailing address
393 Central Ave
Newark, NJ 07103-2842
Phone (908) 420-5524
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.communitypridepharmacy.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240419000336 | NJ | DME Supplier - Pharmacy | 7416396791 | Practice locations: Newark, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Community Pride Pharmacy LLC | Epoetin|Immunosuppressive Drugs|Infusion Drugs|Nebulizer Drugs|Oral Anticancer Drugs|Oral Antiemetic Drugs | Accepts assignment |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777420800000",
"number": "1194431288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "393 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032842",
"telephone_number": "908-420-5524"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "393 CENTRAL AVE",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071032842",
"telephone_number": "973-988-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMMUNITY PRIDE PHARMACY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2026-04-29",
"certification_date": "2026-04-29",
"status": "A",
"authorized_official_last_name": "GRANT",
"authorized_official_first_name": "ALEX",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "973-988-9800",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3336C0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Community/Retail Pharmacy",
"state": null,
"license": null,
"primary": true
},
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "www.communitypridepharmacy.com",
"affiliation": "N",
"endpointDescription": "website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "393 Central Ave",
"city": "Newark",
"state": "NJ",
"country_code": "US",
"postal_code": "071032842",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Newark, NJ
- Communities United Healthcare Corporation
- Community Action for Independent Living, Inc.
- Community Help Services Inc
- Community Leaders of NJ
- Community Options Enterprises, Inc.
- Companions R US
- Compassionate Healthcare Services LLC
- Complete Health Care LLC
- Comprehensive Cardiovascular Consultants PC
- Comprehensive Healthcare Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.